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WHOLISTIC METHODS OF DR JOHN EBNEZAR

DR JOHN EBNEZAR IS THE PIONEER OF WHOLISTIC ORTHOPEDICS-HAS ATTAINED INTERNATIONAL AND NATIONAL ACCLAIM 
-New Treatment Methods | Non Operative, Low Cost | Very Effective

  1. Wholistic Orthopedics

  2. Total Knee Restoration

  3. Rehab Therapy

  4. Challenging Cases

  5. Patient’s Feedback

 

  1. WHOLISTIC TOTAL KNEE RESTORATION TECHNIQUE

    1. WHAT IS WHOLISTIC TOTAL KNEE RESTORATION?

    2. INDICATIONS FOR THIS TREATMENT

    3. ADVANTAGES

    4. MODALITIES

    5. EXAMPLES

  2. WHOLISTIC LOW BACKACHE REHABILITATION PROGRAM

    1. WHAT IS IT?

    2. WHEN IS IT INDICATED

    3. WHAT ARE THE MODALITIES

    4. WHO WILL BENEFIT FROM THIS PROGRAM

    5. WHAT ARE THE ADVANTAGES

  3. WHOLISTIC NECK PAIN REHABILITATION PROGRAM

    1. What is it?

    2. When is it indicated

    3. Who will benefit from this program?

    4. What are its advantages?

    5. How is it different from the current treatment for Neck pain?

 

1 WHOLISTIC TOTAL KNEE RESTORATION TECHNIQUE

 

1.1.1  WHOLISTIC TOTAL KNEE RESTORATION TECHNIQUE

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  • This therapeutic module is based on original research conducted by Dr. John Ebnezar with excellent results and is an Integrated Non-Pharmacological Therapy.

  • This work has been presented at various International, National and State level scientific forums.

  • The work has been published in International Indexed journals and is a scientific form of Evidence Based Treatment for Chronic Orthopedic Problems like Osteoarthritis of the Knee Joint.

  • He is the recipient of the BEST RESEARCH AWARD FOR OSTEOARTHRITIS OF THE KNEE BY THE YOGA UNIVERSITY OF BANGALORE FOR THE YEAR 2011-12.

  • He holds a PhD degree for OA knees, the first and only orthopedic surgeon to do so.

  • His 3 original research publications on OA Knees, has been used by the AMERICAN ACADEMY OF ORTHOPEDIC SURGEONS (AAOS) to frame the 2013 Non-Arthroplasty Treatment Guidelines,which is followed across 187 countries in the World.  They have given STRONG Recommendations for his treatment.  Only Indian Orthopedic Scientist whose research has been used to frame the International guidelines in the treatment of osteoarthritis of the knees.

1.1.2  WHAT IS WHOLISTIC TOTAL KNEE RESTORATION?

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• IT IS A NON DRUG AND NON SURGICAL TREATMENT
• IT IS A MULTI-MODALITY TREATMENT
• IT INVOLVES THE BEST POSSIBLE COMBINATIONS OF THE WESTERN AND EASTERN TREATMENT CHOICES
• IT IS A CUSTOMISED AND NOT GENERALISED TREATMENT OPTIONS FOR EACH PATIENT

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1.1.3  INDICATIONS

IF YOU ARE SUFFERING FROM OA KNEES – MILD AND MODERATE AND IF YOU FIND YOURSELF IN ANY OF THESE SITUATIONS:
• FAILED MEDICAL LINE OF TREATMENT
• DO NOT WANT TO TAKE MEDICINES
• ALLERGIC TO MEDICINES
• HAVE DEVELOPED SIDE EFFECTS TO DRUGS
• IF YOU HAVE ASSOCIATED CO-MORBID CONDITIONS AND YOU ARE ALREADY ON MEDICINES FOR THE SAME IF YOU ARE SUFFERING FROM OA KNEE AND HAVE BEEN ADVISED SURGERY AND IF YOU ARE IN A SITUATION WHEREIN


• YOU DO NOT WANT SURGERY
• YOU CANNOT AFFORD SURGERY
• YOU ARE NOT MEDICALLY FIT FOR SURGERY
• YOU ARE AN ANAESTHETIC RISK FOR SURGERY
• YOU HAVE ASSOCIATED SEVERE CO-MORBID CONDITIONS LIKE DIABETES,HYPERTENSION,OBESITY,IHD,OSTEOPOROSIS.DEPRESSION AND ANXIETY
• YOU ARE TOO OLD AND FRAGILE UNABLE TO WITHSTAND THE RIGORS OF MAJOR SURGICAL PROCEDURES
• YOU HAVE SEVERE OA KNEE AND HAVE UNDERGONE MAJOR SURGICAL PROCEDURES LIKE OPEN HEART,KIDNEY RELATED SURGERIES ETC

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1.1.4   ADVANTAGES

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• NON DRUG/NON SURGICAL TREATMENT
• APPLICABLE FOR ALL VARIETIES OF OA KNEES – MILD,MODERATE AND SEVERE
• SIMPLE TREATMENT
• PAINLESS TREATMENT
• CHEAP AND COST EFFECTIVE
• ABSOLUTELY NO SIDE EFFECTS
• CAN BE PRACTICED BY ANY ONE AT ANY STAGE OF THE DISEASE
• NO CONTRAINDICATIONS
• IT IS AN UMBRELLA TREATMENT – TAKE CARE OF OTHER CO-MORBID AND MS CONDITIONS TOO
• HELPS REDUCE THE DOSE OR TOTALLY Stop DRUGS USED FOR ABOVE CONDITIONS
• SLOWS DOWN THE PROGRESSION OF THE DISEASE
• HELPS IN PREVENTION
• OUTPATIENT THERAPY
• CAN DO ALL THE ACTIVITIES DURING THE COURSE OF THE TREATMENT
• CHEAPER ALTERNATIVE TO TKR
• HELPS GET RID OF PAIN KILLERS DRUGS
• NOT A SINGLE JOINT THERAPY
• IMPROVES MOBILITY AND QUALITY OF LIFE
• IMPROVES WALKING TIME
• REDUCES STIFFNESS OF THE JOINTS

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1.1.5   MODALITIES

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• WESTERN OPTIONS
• EASTERN OPTIONS LENGTH OF TREATMENT: 2-4 WEEKS THERAPY TIMING – 1-2 HOURS/DAY

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1.1.6   EXAMPLES

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• INTEGRATED HEALTH EDUCATION
• INTEGRATED KNEE SPECIFIC THERAPEUTIC EXERCISES
• INTEGRATED YOGA THERAPY

• INTEGRATED PHYSIOTHERAPY

• SUPPORTIVE THERAPY
• MANUAL THERAPY
• STATIC MAGNET THERAPY
• DIETARY ADVICE
• MODIFICATIONS OF THE ADL

WHOLISTIC LOW BACKACHE REHABILITATION PROGRAM

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2.1   WHAT IS COMMON LOWBACKACHE?

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It is the most common public health problem in the world next only to headache and is seen in 80% of the world population

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2.2   WHAT ARE THE CAUSES FOR COMMON LOWBACKACHE

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Most of the common low back ache is due to
1. Improper life styles
2. Sedentary activities
3. Lack of Exercises
4. Modern day stress leading to emotional and mental problems
5. Poor postures
6. Long travelling hours
7. Prolonged sitting job like soft ware professionals
8. Improper diet

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2.3   What does this lead to?

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All the above causes leads to weakness of the core muscles of the back  resulting in abnormal load and pressure over the back bones and discs. This is also knows as POSTURAL BACKACHE OR MECHANICAL BACKACHE.

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2.4   HOW DOES A PATIENT WITH CLBP PRESENT?

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1. Chronic lower backache
2. Tenderness over the back
3. Loss of movements of the back
4. Coughing and lifting weight increases the pain
5. Radiating pain over the buttocks and the back of the thigh and legs (Called Sciatica)
7. In extreme cases numbness and weakness of the lower limb muscles 8. Depression and Anxiety

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2.5   WHAT ARE THE PRESENT DAY TREATMENT METHODS?

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1. Predominantly drug dependent
2. Physiotherapy
3. Exercises
4. In severe cases,surgery involving disc removal,removal of the vertebral body etc

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2.6   WHAT ARE THE LIMITATIONS AND PROBLEMS WITH THE PRESENT DAY TREATMENT METHODS?

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1. Drug Oriented
2. Side effects of the drugs
3. Complications of the drugs
4. Costly
5. Does not address the problem in its entirety and is only symptomatic.
6. Will not prevent future recurrences.
7. Will not tackle the co-morbidities

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2.7   How is Dr John’s Research based WHOLISTIC Therapy different?

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1. Not generalised form of treatment
2. Each Patient is different and the treatment cannot be the same
3. Thorough clinical evaluation is done by using the modern parameters like pain score,movements estimation etc
4. Individual Back Disability is calculated by using the standard Neck Disability Scales
5. Personal and individualised care
6. Addresses the disease as a whole

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2.8   WHAT ARE THE MODALITIES OF HIS WHOLISTIC THERAPY?

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PRINCIPLE OF TREATMENT-THIS TREATMENT IS BASED ON THE CONCEPT THAT COMMON BACK PAIN IS A MULTI-FACTORIAL DISEASE AND THE TREATMENT TOO HAS TO BE MULTI-MODAL. MERELY DEPENDING ON DRUGS OR SOME IMPROPER PHYSIOTHERAPY MAY NOT BE HELPFUL.

MODALITIES OF WHOLISTIC TREATMENT
• INTEGRATED HEALTH EDUCATION
• INTEGRATED NECK SPECIFIC THERAPEUTIC EXERCISES INTEGRATED PHYSIOTHERAPY
• INTEGRATED YOGA THERAPY
• INTEGRATED AYURVEDIC THERAPY
• SUPPORTIVE THERAPY
• MANUAL THERAPY
• STATIC MAGNET THERAPY
• DIETARY ADVICE
• MODIFICATIONS OF THE ADL Careful selection of the modalities are done based on the individual patients staging of the Common back pain and is not the same for everybody.

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2.9   WHAT ARE THE ADVANTAGES OF WHOLISTIC THERAPY?

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1. Simple
2. Non Drug therapy
3. Non Surgical therapy
4. No side effects
5. No complications
6. Cheap and Cost effective
7. OPD based treatment
8. Can attend office and work during treatment. No need to take leave for the treatment.
9. Has a preventive role and prevents future recurrences.
10. Helps control co-morbid conditions like diabetes,hypertension,IHD etc that are so commonly associated with modern day lowbackache.

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3  COMMON NECK PAIN WHOLISTIC REHABILITATION PROGRAM

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3.1   WHAT IS COMMON NECK PAIN?

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It is one of the most common public health problem in the world and together with back ache and osteoarthritis of the knee forms the famous three orthopedic triads of public health importance.

​

3.2   What are the causes of Common Neck pain?

​

It is the same as for common lowbakcahe and is due to
1. Poor life styles
2. Sedentary activities
3. Lack of Exercises
4. Modern day stress leading to emotional and mental problems
5. Poor postures
6. Long travelling hours
7. Prolonged sitting job like soft ware professionals
8. Improper diet

​

3.3   What does this lead to?

​

All the above causes leads to weakness of the muscles of the neck and shoulders resulting in abnormal load and pressure over the neck bones and discs. It can co-exist with POSTURAL BACKACHE OR MECHANICAL BACKACHE.

​

3.4   HOW DOES A PATIENT WITH COMMON NECK PAIN PRESENT?

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1. Chronic Neck pain
2. Tenderness over the back of the neck
3. Loss of movements of the neck
4. Coughing and lifting weight increases the pain
5. Radiating pain over the shoulder,upper arm and fingers
7. In extreme cases numbness and weakenss of the hand muscles
8. Depression and Anxiety

​

3.5   WHAT ARE THE PRESENT DAY TREATMENT METHODS?

​

1. Predominantly drug dependent
2. Physiotherapy
3. Exercises
4. In severe cases,surgery involving disc removal,removal of the vertebral body etc

​

3.6   WHAT ARE THE LIMITATIONS AND PROBLEMS WITH THE PRESENT DAY TREATMENT METHODS?

​

1. Drug Oriented
2. Side effects of the drugs
3. Complications of the drugs
4. Costly
5. Does not address the problem in its entierety and is only symptomatic.
6. Will not prevent future recurrences.
7. May increase the co-morbidities

​

3.7   WHAT ARE THE MODALITIES OF HIS WHOLISTIC THERAPY

​

HIS TREATMENT IS BASED ON THE CONCEPT THAT COMMON NECK PAIN IS A MULTI-FACTORIAL DISEASE AND THE TREATMENT TOO HAS TO BE MULTI-MODAL. MERELY DEPENDING ON DRUGS OR SOME IMPROPER PHYSIOTHERAPY MAY NOT BE HELPFUL.
• INTEGRATED HEALTH EDUCATION
• INTEGRATED NECK SPECIFIC THERAPEUTIC EXERCISES
• INTEGRATED YOGA THERAPY
• SUPPORTIVE THERAPY
• MANUAL THERAPY
• STATIC MAGNET THERAPY
• DIETARY ADVICE
• MODIFICATIONS OF THE ADL
• INTEGRATED PHYSIOTHERAPY Careful selection of the modalities are done based on the individual patients staging of the Common Neck pain and is not the same for everybody.

​

3.8   WHAT ARE THE ADVANTAGES of Dr John’s WHOLISTIC THERAPY?

​

1. Simple
2. Non Drug therapy
3. Non Surgical therapy
4. No side effects
5. No complications
6. Cheap and Cost effective
7. OPD based treatment
8. Can attend office and work during treatment. No need to take leave for the treatment.
9. Has a preventive role and prevents future recurrences.
10. Helps control co-morbid conditions like diabetes,hypertension,IHD etc that are so commonly associated with modern day low backache.

​

3.9   How is Dr John’s Research based WHOLISTIC THERAPY FOR Common Neck Pain different from the present day treatment methods?

​

1. Not generalised form of treatment
2. Each Patient is different and the treatment cannot be the same
3. Thorough clinical evaluation is done by using the modern parameters like pain score,movements estimation etc
4. Individual Neck Disability is calculated by using the standard Neck Disability Scales
5. Personal and individualised care
6. Addresses the disease as a whole

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